专业精神中医患关系的障碍：一项定性研究。
Barriers of physician-patient relationships in professionalism: A qualitative study.
作者信息
Keshavarzi Mohammad Hasan, Safaie Saeede, Faghihi Seyed Ali Akbar, Zare Soolmaz
机构信息
Clinical Education Research Center, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz Iran.
Shiraz University of Medical Sciences, Shiraz, Iran.
出版信息
J Adv Med Educ Prof. 2022 Jul;10(3):199-206. doi: 10.30476/JAMP.2022.94010.1563.
INTRODUCTION
Undoubtedly, there are several obstacles in the path of medical professionalism. This study examines these obstacles in the relationship between physician and patient. Therefore, this study was conducted to explore the barriers of physician-patient relationships in professionalism based on physician experiences.
METHODS
It was a qualitative study with a conventional content analysis approach. Our participants were 14 patients and 11 physicians. The sampling method was purposive, and data was collected through semi-structured interviews and field notes. Interviews continued until data saturation.
RESULTS
Findings of the study regarding barriers of patient-physician relationship were classified into five main categories: misperception of the physician's identity, unprofessional behavior of the physician, physician's sense of self-superiority, patients' cultural differences, and lack of supportive services in the health care system.
CONCLUSION
The results of this study showed that the communication challenges between physician and patient were not limited to the physicians' education. Part of these challenges depends on the patients and their culture. Another part of these challenges is directly related to the medical and management system structure.
引言
毫无疑问，医学职业精神的道路上存在若干障碍。本研究考察了医患关系中的这些障碍。因此，本研究旨在基于医生的经验探索职业精神中医患关系的障碍。
方法
这是一项采用传统内容分析法的定性研究。我们的参与者有14名患者和11名医生。抽样方法是有目的的，数据通过半结构化访谈和实地记录收集。访谈持续进行直至数据饱和。
结果
关于医患关系障碍的研究结果分为五大类：对医生身份的误解、医生的不专业行为、医生的优越感、患者的文化差异以及医疗保健系统中缺乏支持性服务。
结论
本研究结果表明，医患之间的沟通挑战并不局限于医生的教育。这些挑战部分取决于患者及其文化。这些挑战的另一部分与医疗和管理系统结构直接相关。
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